Individual
JONATHAN TATELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5619 N FIGUEROA ST, LOS ANGELES, CA 90042-4977
(978) 979-6936
Mailing address
131 N AVENUE 55, LOS ANGELES, CA 90042-4107
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
124538
CA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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